exam i: ch9 - therapeutic communication

Question 1

what is the foundation of developing therapeutic nurse-patient relationship

Answer 1

therapeutic communication

Question 2

purposeful use of communication to build and maintain helping relationships with patients, families, significant others
- patient centered, goal directed, science based

Answer 2

therapeutic communication

Question 3

self talk

Answer 3

intrapersonal communication

Question 4

one and one talks with another individual

Answer 4

interpersonal communication

Question 5

according to peplau’s interpersonal theory, what are the 2 main principles that guide the communication process

Answer 5

clarity, continuity

Question 6

meaning of the message is clear to both parties

Answer 6

clarity

Question 7

promotes connections among ideas, feelings, events, themes

Answer 7

continuity

Question 8

2+ people in a small group talk

Answer 8

small group communication

Question 9

addresses the pt’s spiritual needs and provides interventions to meet those needs

Answer 9

transpersonal communication

Question 10

what is the correct way to address hallucinations and delusions

Answer 10

validate what they see, but tell the truth (voice doubt)

Question 11

t/f: we believe nonverbal behavior more than verbal cues

Answer 11

true

Question 12

mutually contradictory messages, usually given by a person in power

“just go out and have fun. i’ll just stay here all alone then”

Answer 12

double blind messages

Question 13

NOT the absence of communication, but a specific channel for transmitting and receiving messages

Answer 13

the use of silence

Question 14

nurses focus, respond, and remember what the patient is saying verbally and nonverbally
- can enhance self esteem and encourages pt to direct energy towards finding coping mechanisms

Answer 14

active listening

Question 15

therapeutic comm technique:
more than a yes/no question; encourage pts to share information about experiences, perceptions, or responses to a situation
- Let’s talk about your night, what can i do to help?

Answer 15

open ended question

Question 16

therapeutic comm technique:
yes/no question; used sparing can give specific and needed information
- Would you like me to come back at a later time to talk to you?

Answer 16

close ended question

Question 17

therapeutic comm technique:
request feedback to aid in understanding
- You said you didn’t feel like anyone here cares, is that right?

Answer 17

clarification

Question 18

therapeutic comm technique:
active listening strategy that helps nurse show that they understand what pt is saying
- You are saying that you are not getting enough sleep or getting the food you ordered?

Answer 18

restatement

Question 19

therapeutic comm technique:
restate the basic content of patient’s message in different, fewer words

Answer 19

paraphrase

Question 20

therapeutic comm technique:
assisting pts to better understand their own thoughts and feelings
- it sounds like you have a lot going on, lets talk about what is bothering you

Answer 20

reflection

Question 21

therapeutic comm technique:
assure patient that what they are wanting to communicate about is worthy of your time and effort

Answer 21

validate

Question 22

therapeutic comm technique:
gathering more info

Answer 22

exploring

Question 23

therapeutic comm technique:
“what if” or miracle questions

Answer 23

projective questions

Question 24

therapeutic comm technique:
being in the moment with pt by using nonverbal and verbal cues

Answer 24

attending

Question 25

why is excessive questioning bad

Answer 25

pt not knowing which question to answer + lead to confusion

Question 26

why is giving approval/disapproval bad

Answer 26

implies pt is doing right thing with focus on pleasing the nurse
disapproval can make pt defensive

Question 27

why is giving advice bad

Answer 27

assumes nurse knows best and pt can’t think for themselves

Question 28

why is asking “why” questions bad

Answer 28

demands explanation and implies wrongdoing

Question 29

why is giving false reassurance bad

Answer 29

underrates pt feelings and belittles their concerns…can become an issue if person giving advice ends up being wrong

Question 30

live interactive mechanism that is used to track clinical data and to provide access to people that otherwise might not receive good medical/psychosocial help

Answer 30

telehealth